IHS FELLOWSHIP AWARD 2012
INFORMATION AND APPLICATION FORM
Information for Applicants
The IHS fellowship award aims to encourage the mobility of researchers and physicians within different institutions
worldwide, and to actively increase the knowledge base of headache disorders.
The deadline for applications is 1 April 2012; applicants will be notified within 2 months of the deadline. The
fellowship should commence within 6 months of acceptance.
Applications received by the IHS Administrative Office will be checked to ensure they fulfil all the required eligibility
criteria and elements. Incomplete or incorrect applications will not be considered further. Complete and correct
applications will be submitted for evaluation to the IHS Fellowship Review Committee. Applicants will be informed
of a definitive decision by email at the Committee’s earliest convenience.
Length of tenure: Initially funding is provided for 1 year. In exceptional circumstances the society can consider a
further extension taking the fellowship to a maximum of 3 years.
Short-term fellowships from 3–6 months are also considered – equally weighted on merit.
Value: The award is designed to provide funding to cover the fellow’s salary costs based on the local economic
context of where the fellowship is taking place. The maximum amount of the total yearly grant is GBP 50,000 (12
months). For short-term fellowships of 3–6 months, smaller grants will apply accordingly.
If the length of the fellowship extends to more than 1 year, payment of the award will be made 50% upon the
fellowship starting date, and the remaining 50% upon the completion of the first half of the programme.
Awards are to be received by the award holder and not by his/her institution.
Funding transparency: The applicant must declare in advance to IHS if he/she will benefit from any other source of
financing to complete the fellowship.
Essential criteria: Applicants must meet the following criteria to be considered for a fellowship award:
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The applicant and mentor must be members of IHS
The applicant and mentor must be professionally involved in the treatment, research or management of
headache disorders
The applicant should be within 3 years of completing initial headache training, not including non-professional
periods
The applicant should not have previously received an IHS fellowship award
The hosting institution must be different from the home institution and preferably in another country
The applicant should not currently be working with the future mentor. In special cases applications on this
basis will be accepted if the current working period has been for less than 12 months
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No geographical restriction on the host institution shall be applied
There will be no restriction on the applicant’s nationality.
Application: Each application must include:
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Updated curriculum vitae of the applicant (to include personal data, qualifications, language ability, academic
training, clinical experience, research experience, honours achieved, full bibliography and any other material
thought to be appropriate)
A clear fellowship proposal following the template in the Aims and plan section
Two reference letters (other than the fellowship mentor)
Updated curriculum vitae of the fellowship mentor
Confirmation letter of support and acceptance from the host institution or fellowship mentor (to include
where appropriate a description of the clinical programme, hours of work, type of work, time in the
office/hospital, level of patient care).
Host organisation: The host organisation must ensure that the award holder is made aware of his/her
responsibilities during the fellowship. Failure to comply with these conditions may lead to termination of the award
and the society reserves the right to recover the fund in part or fully.
Data protection: To meet the society’s obligations for member’s accountability, some details of Awards will be
made available on the society’s website, reports, documents or mailing lists.
Protection of any intellectual property will be fully respected. Nevertheless, and with the consent of the award
holder, the society may share the findings from the research fellowship with its members via its website or owned
publications.
Reporting: The award holder must submit a final report within 3 months following the end of the fellowship period
as well as an interim report on the completion of the first half of the fellowship. All reports must be signed and
approved by the mentor.
All payments may be recovered if the report is not received within the 6 months of the end of the fellowship
period.
Data presentation: The award holder must present the results of his/her research at the IHS congress (IHC)
following completion of the fellowship (unless the congress is held less than 1 month following submission).
IHS contribution: The society’s contribution to the accomplishment of the fellowship should be acknowledged in all
publications or presentations related to the research.
Termination of the fellowship: Following the termination of the fellowship programme the award holder is
encouraged to return to his/her country of origin in order to apply the acquired knowledge, thus contributing to
the advance of science locally.
Insurance: Any insurance-related matters for the duration of the fellowship will be the entire responsibility of the
award holder.
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APPLICATION FORM
This form must be fully completed with the required documentation in order to be eligible for the fellowship
award.
The full application in electronic form must be sent to IHS by email to carol.taylor@i-h-s.org
Receipt of your application will be acknowledged. Notification will be sent to you by 31 May 2012.
Required information
1.
General
Name
Nationality
Date of birth
Full contact address
Current working address
Current status (training in
headache, if no longer training,
when training ended)
Email address
Telephone
Fax
2.
Fellowship
Length of the fellowship
Proposed dates
(to commence before January 2013)
Proposed location
Institution name
Institution address
Mentor name*
Mentor contact details
Title of proposed study
* The applicant should not be currently working with the mentor
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3.
Financial information
Amount requested
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For remuneration & related costs:
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For travel:
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For subsistence (based on no. of days):
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For other expenses (justify in full):
Total amount: _____________________
Would you be granted paid leave
of absence to take up this
fellowship?
YES/ NO
If YES please state the amount _____________________
4.
Research details
Reasons for choosing the host institution and mentor
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Aims and plan of the project
Please structure following the given template
 for research-based fellowships
Title:
Abstract: (<½ page)
Hypothesis and objectives: (< ½ page)
Background: (< 1 page)
Methods and statistical plan: (< 1 page)
Relevance: (< ½ page)
or
 for clinical training programme
Give full description of suggested training programme
Future impact sought in the headache field
What do you expect to gain from the fellowship and how will it benefit your country?
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Future impact in your career
5.
Required documentation (check list)
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Updated curriculum vitae of the applicant (including Academic record (degree, subject, institution, year, etc.)
A clear fellowship proposal (documentation above)
Two reference letters (other than the fellowship mentor)
Updated curriculum vitae of the fellowship mentor
Completed mentor section (please see the last page of this document)
Confirmation letter of the fellowship acceptance from the host institution and mentor
6.
Acceptance
I have carefully read and completed the above application form and attached all the requested documentation.
If my application is successful I agree to abide by the rules and regulations for this award.
Signature: ____________________________ Date: ___________________________________
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MENTOR SECTION
This section must be completed by the fellowship mentor IN CONFIDENCE. It MUST BE SENT INDEPENDENTLY
from the remaining full application and related documentation by email to carol.taylor@i-h-s.org
Applicant’s name
Title of proposed study
Mentor’s name
Institution’s name
Mentor’s contact details
Address:
Tel: _______________________ Fax: _______________________
Email: _____________________
Applicant’s scientific ability and suitability for this fellowship
Why is your institution appropriate to hold this specific fellowship?
Signature: ____________________________ Date: ___________________________________
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